Malone, Alice

Malone, Alice is an individual health care provider with primary practice located at 8 Cusumano Professional Plaza Dr , Mount Vernon IL 62864-6736. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Malone, Alice can be contacted via phone (618) 242-7819.

Contact Information

Primary practice address
8 Cusumano Professional Plaza Dr Mount Vernon IL 62864-6736
Phone: (618) 242-7819
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 180006424 Illinois

Profile Details

NPI number 1467509109
LBN Legal business name Malone, Alice
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Oct 22nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467509109 NPPES
Illinois Other 180006424 STATE LICENSE NUMBER

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